| NPI | 1407620214 |
|---|---|
| Doing Business As | CHAMPLAIN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CASEY R LONABOCKER Vice President Operations 617-665-7241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-12-27 |